NPIMap

Organization Active NPI

Wellington Family Practice Clinic LLP

  • Family Medicine Physician
  • Wellington, KS
National Provider Identifier
1083622310
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLINGTON FAMILY PRACTICE CLINIC LLP
Practice address
1323 N a St
Wellington, KS 67152-4350
Phone
(620) 326-3353
Fax
(620) 326-2933
NPI assigned
Aug 3, 2006
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cathy D Davis
Title
Office Manager
Phone
(620) 326-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1323 N a St
Wellington, KS 67152-4350

Mailing address

PO Box 628
Wellington, KS 67152-0628
Phone (620) 326-3353

Other identifiers 1

IdentifierTypeStateIssuer
100226820AMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1083622310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671520628",
            "telephone_number": "620-326-3353",
            "fax_number": "620-326-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N A ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671524350",
            "telephone_number": "620-326-3353",
            "fax_number": "620-326-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON FAMILY PRACTICE CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-326-3353"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100226820A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.